Active NPI
Alexander J Romer, CADC-R/QMHA-R
- Addiction (Substance Use Disorder) Counselor
- Portland, OR
National Provider Identifier
1508227315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- T-18-251
- Practice address
- 1438 SE Division St
Portland, OR 97202-1140 - Phone
- (503) 548-0346
- Fax
- (503) 232-5959
- NPI assigned
- Mar 8, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 20-QMHA-R-0076 | OR | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | T-18-251 | OR | Primary |
Addresses
Primary practice location
1438 SE Division St
Portland, OR 97202-1140
Mailing address
1776 SW Madison St
Portland, OR 97205-1715
Phone (503) 224-1044
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500770845 | Medicaid | OR | |
| 500707004 | Medicaid | OR |
Other names 1
- Alex J Romer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-18-251 | OR | MD | Addiction (Substance Use Disorder) Counselor |
| 20-QMHA-R-0076 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1508227315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 SW MADISON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972051715",
"telephone_number": "503-224-1044",
"fax_number": "503-621-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1438 SE DIVISION ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021140",
"telephone_number": "503-548-0346",
"fax_number": "503-232-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMER",
"first_name": "ALEXANDER",
"middle_name": "J",
"credential": "CADC-R/QMHA-R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-08",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "20-QMHA-R-0076",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "T-18-251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500770845",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500707004",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALEX",
"last_name": "ROMER",
"middle_name": "J",
"credential": "CADC-R/QMHA-R",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.